陈旧性骨盆骨折的手术治疗

目的 探讨陈旧性骨盆骨折的手术治疗：方法 自2000年2月起，对本院14例陈旧性骨盆骨折患者行手术清理瘢痕或骨痂，牵引复位，然后内固定治疗。结果 本组病例全部获得随访，时间6个月～3年6个月。根据骨盆形态、双下肢长度差异、步态、X线片测量等指标判断疗效，优8例，良4例，差2例，优良率为85．7％。结论 陈旧性骨盆骨折可进行手术复位治疗。只要设计合理、方法得当，通过积极的手术可避免发生严重的残废，极大地提高伤者的生存质量。

Operative treatment of old fractures of pelvis

Objective To discuss operative treatment of old fractures of pelvis. Methods Since February 2000, 14 cases with old fracture of pelvis have been treated in our hospital with operative scar or callus settlement, traction and reduction, and internal fixation. Results All patients were followed up from 6 months to 3 years and 6 months. According to such indexes as pelvic shape, length difference between lower limbs, gait, and radiogram, the scores were excellent in 8 cases, fine in 4 and poor in 2, with the excellent and good rate being 85.7%. Conclusion With reasonable design and appropriate method, operative treatment is fit for old fractures of pelvis because it can avoid severe disability and improve the quality of life of the patients.